Individual
HARLAN W OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPC
Contact information
Practice address
1905 CONTINENTAL PL, MOUNT VERNON, WA 98273-5633
(360) 755-6400
(360) 755-6407
Mailing address
1905 CONTINENTAL PL, MOUNT VERNON, WA 98273-5633
(360) 755-6400
(360) 755-6407
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WDL7PBR8033B
DRIVER'S LICENSE
WA
Enumeration date
05/18/2021
Last updated
05/18/2021
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